Beth Bostrom, | |
1128 E Weisgarber Rd, Suite 100, Knoxville, TN 37909-2674 | |
(865) 579-0552 | |
Not Available |
Full Name | Beth Bostrom |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1128 E Weisgarber Rd, Knoxville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1518388479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | 1766 (Tennessee) | Primary |
Provider Name | Pain Consultants Of East Tennessee, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609890383 PECOS PAC ID: 3173424298 Enrollment ID: O20040120000674 |
Mailing Address | Practice Location Address |
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Beth Bostrom, 1812 Scenic Dr, Maryville, TN 37803-6362 Ph: () - | Beth Bostrom, 1128 E Weisgarber Rd, Suite 100, Knoxville, TN 37909-2674 Ph: (865) 579-0552 |
Stephanie Ann Krape, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1708 Blackwood Dr, Knoxville, TN 37923 Phone: 606-682-3461 | |
Shakendra Marr, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10133 Sherrill Blvd Ste 200, Knoxville, TN 37932 Phone: 865-392-2849 | |
Kelly Marie Kinne, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10133 Sherrill Blvd Ste 200, Knoxville, TN 37932 Phone: 207-459-8838 | |
Michele Miles, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 Phone: 615-614-8833 | |
Brittany Powers, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2929 Tazewell Pike, Knoxville, TN 37918 Phone: 615-614-8833 Fax: 615-614-8811 | |
Crystal Henley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 229 S Peters Rd, Knoxville, TN 37923 Phone: 865-221-1280 | |
Katherine Mckinney Pelger, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1600 Accelerator Way Ste 220, Knoxville, TN 37920 Phone: 865-595-1940 Fax: 865-595-1945 |